What In-Home Wound Care Costs in Broward County

Yes, in-home wound care is covered through the Medicare home health benefit when three conditions are met: a doctor orders skilled nursing care, you are considered "homebound," and a Medicare-certified agency provides the care.

When these criteria are met, covered skilled nursing visits for wound care generally cost $0 out-of-pocket under Original Medicare.

While the nursing visits themselves are typically fully covered, certain equipment requires cost-sharing. For example, if your doctor orders a Negative Pressure Wound Therapy (Wound VAC) device, it is typically covered under Medicare Part B as Durable Medical Equipment (DME).

Medicare generally covers 80% of the Medicare-approved amount for DME, leaving you with a 20% coinsurance after you've met your Part B deductible. Secondary or supplemental insurance may cover this remaining 20%.

If you have a Medicare Advantage plan instead of Original Medicare, we can still help. We work with Preferred Care Partners, United Dual Choice D - SNP Plan, and WellCare.

Medicare Advantage plans must cover at least what Original Medicare covers, but they may have different rules, such as requiring prior authorization or charging a copay per visit. We handle the verification process to clarify these details for you.

A common misconception is that "homebound" means you can never leave your bed or your house. This is incorrect.

For Medicare purposes, homebound simply means that leaving your home requires a considerable and taxing effort, often requiring the assistance of another person or medical equipment (like a cane, wheelchair, or walker). You are still allowed to leave home for medical treatment, and for short, infrequent non-medical outings, such as attending religious services or a family gathering.